Individual
JENNIFER NICOLE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6221 KING RD, MARINE CITY, MI 48039-1428
(810) 765-5010
Mailing address
2811 MASON AVE, PORT HURON, MI 48060-6525
(810) 334-8236
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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